Individual
JEROME M LARKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, GERRY 113, PROVIDENCE, RI 02903-4923
(401) 444-8130
(401) 444-8154
Mailing address
PO BOX 1358, PROVIDENCE, RI 02901-1358
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD11946
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3170411
—
MA
05
—
7058131
—
RI
Enumeration date
06/02/2006
Last updated
02/10/2009
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